| NPI | 1144910399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSPIN BAGAZA Manager 602-373-8486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-05-10 |